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Home My WebLink AboutBuilding Permit #602-13 - 64 BLUE RIDGE ROAD 3/13/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION / Permit NO: 6 Q Z_ Date Received t/ Date Issued: 13 ` IMPORTANT: Applicant must complete all items on this page LOCATION '5[,41 F RD Print PROPERTY OWNER S 4$4AJ Oki- Print 100 Year Old Structure yes MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED- A.) ERFORMED: lel[ S _ot�) 8,r/15: �r' lecom /N i /r4N �6012S /ltJs-4aC ( (0r1J00C4J Q ✓)'IDUE Fx is�IA/G CSA (, 14-A AAJJP e;r) Identification Please Ty a or Print Clearly) OWNER: Name: ��1iU / z Phone: Address: CONTRACTOR Name: l/ �0 Phone: 6( 7- Address: 7-Address: (0 & )6LS l� G�IL,� �T/C��l Ale, R4'r-S 'I Supervisor's Construction License � l_s- S � 13 Exp. Date:�_f Home Improvement License: ` 3'S 3 3 Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �Q� . w FEE: $ eQ&S Check No.: �S& Receipt No.: a(w 2,0 3 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ;Signature of Agent/Owner Signature of contracto Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Location teJuG ✓ / 4 No. _ - Date 3' • TOWN OF NORTH ANDOVER • ,;4,�tt�rn��y , 6 - • -� Certificate of Occupancy $ Building/Frame Permit Fee $c�`� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# 26203 Building Inspector i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments F Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Tow;! Engineer: Signature: Located 384 Osgood Street FIRE-DEPARTM_E VT -Temp Dumpster on site yes no Located at'124 Main Street Fire Departinert signatureldate COMMENTS y Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, roast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine I NOTES and DATA— For department use ® Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building pp Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the app:al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Building permit Revised 2012 Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 22,100.00 m $ - $ 265.20 Plumbing Fee $ 33.15 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 33.15 Total fees collected $ 431.50 64 Blue Ridge Road 602-13 on 3/13/13 Finish Room In Basement NORTIy own Of E . 1, ndover 602-- 1 Lwµ, h ver, Mass, CoCNICMIWICK S U BOARD OF HEALTH Food/Kitchen .PERMIT T LD Septic System THIS CERTIFIES THAT G ...................................................... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on .... .1�.....i�.�. .�..�� ...1 .:�:........... ... • Rough V to be occupied as ......... .... K1:4.3:L!.. ..�1 !'�iQ !.... ..... ....! .�: ........... ................. Chimney provided that the person accepting this perm t shall in every respect conform o the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final Q65' . PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION A Rough ` Service ...................... . ...................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE rv11/ni3'/ivio 1L. LU rive m&L rowler insurance PIRA r, UU1/UU1 C E R TI F t3ATE(MM/DWNW) KATE OF LIABILITY II�SURANCF 3/11/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT OETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL. INSURED,the poliey(ie9) must be endorsed. If SUBROGATION IS WAIVED,subject to the terrrLs and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such eridorsement(s). : PRODUCER NCONTACT AME A & K Fowler Insurance LLC PHONEg78. 664-0366 FAX (978) 664-2209 200 Park Street .MAIL AD6169: North Reading, MA 01964 INSURERISI AFFORDING C6VERA(3E NAIL# INSURER A:Preferred Mutual Insurance Com INSURED BroConst. Co. INSURERB;Klella Mutual Insurance C om a 6 School Hill Ln- INSURERC!Travelers Insurance Company INSURER D: ' North Reading, MA 01864 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEF--N ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L1R TYPEOFINSURANCE DDL9UBR POLICYNUMRER PMIDDY/YEFF M TIVYYOLIUY-YYYY) LIWTS A GENERAL LIABILITY CPP0100566728 3/1a/13 3/14/14 EACH OCCURRENCE $ 00,000 COMMERCIALGENERAL LIAR ILITY DAMAGE TO RENTED $ 100,000 CLAIMS-MADE ®OCCUR MED EXP(Ary one person $ 000 PERSONAL&ADV INJURY $ 500,000 GENERAL AGGREGATE S 1 GEN'LAGGREGATE LIMITAPPLIES PER PRODUCTS-COMPIOPAGG $ 1,QQQ,000 POLICY PR0. LOC $ $ AUTt)MOBILELIA9WTY 1020025432 3/112/13• 3/12/1Q Caa�cc , rt $ ANYAUTO BODILY INJURY(Per person) $ 500.000 A T08 X SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( � NON-OWNED• PROPERTY DAMAGE $ HIRED AUTOS _AUTOS Pereccid t $ UMB RELLALIAB OOCUR EACH OCCURRENCE $ $EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEO RETENTION $ C WDRKERSCOMPENSATION 7PJUB0277N71012 3/22/12 3/22/13 wcSTATu- OTH- AND EMPt.OYERS'LIAi31LITY YIN AW PROPRIETOR/PARTNER/EXECUTNE NIA DE 141 100,000 OFFICERNEMBER EXCLUDED? Namtatory in NH) EA EMPLOYEE 100,000 It yyea describe under DESC.RIPTIONOFOPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,AdWtlonal Rerna"Schedule.if more spacQ Is req lred) Ineurance Verification - 64 Blue Ridge Rd. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORIE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH TME POLICY PROVISIONS. Fax 978-6ee-9542 North Andover, Ma 01845 AUTHORIZEDREPRESENTATNE Kerri A. Boutin, CIC CRM CISR 0 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 135313 Type: Individual 'z r =.� 4'. =�•� �u;r-�-�' Expiration: 3/22/2014 Tr# 224957 JOHN DIVECCHIA JOHN DIVECCHIA 6 SCHOOL HILL LANE. NORTH READING, MA 01864 Update Address and return card.Mark reason for change. DPS-CA1 50M-04/04-G101216 Address E] Renewal ❑ Employment Lost Card ILLS l :#-r1 \ EIO&RUS; :u0Qe.gdx3 +auoi snuuro) t79860 f/W 'ONiCIV38 H-LNON 3NV-1 �-1I1-1 -1001-10S 9 VIH003AICI NHOf 6b1L8 S� :asua�r� puiasuaol1 1osrAJadns uor;onl;suo� : I tiParr;S Puy' suoi;rin„aa )uippn8.Io p.11?o8 _kJNVS ;)rlynd.{o 1uaw;.ir(I,)Q -�13�tiny�rssr.W L�«noxvcc*�o�at�orubdfor�d��uUmmeoo� L before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Office '` - 10 Park Individual Expiration:' Boston,MAOI1l6------------- � JonmuwECcn 6 SCHOOL HILL JOHN DIVEC ` NORTH READING, muu'o'uemrr Not valid without signature ' / - ` ` � , . - — '— - ` M0uywuobuyeuy- Dwpurrnu�mto[Public Sufer% ' �ourdo[Building Rcgu\u¢ionxund8,undumd* ' Construction Supervisor License � License: oa 87143 / JOHN O|VECCHkA ` 8SCHOOL HILL LANE ` NORTH READING, MAU1804 ~ . ` ` sxn"auun�' 5/18/2013 ` —~� i ^ Tn#: 15//1 — � ` - � Li Li p , 4 (t G rr f �V f' ....._ , 1 0 M i 1 t!`� Lt>i �•�e� t, � Fo iJ' DiVecchia Bros. Construction Inc. Proposal 6 School Hill Lane No. Reading,MA 01864 Date 2/28/2013 Bill To Ship To Sandra Hafiz 64 blue ridge rd North Andover, MA 01845 S.O. No. P.O. Number DRe4%te Ship Via F.O.B. Project 2/28/201 /28/2013 Description Amount builder will supply all materials and labor to finish a 14'x 15' unfinished room in basement at the above address builder wail install a new 2x4 wall with aP ressure treated bottom sill around all existing foundation plus insulate all uninsulated areas with r-13 insulation and a of vapor barrier wails P poly P will be 1/2 in sheetrock taped and sanded. builder will also remove wall in existing finished area and reinstall wall at foundation to extend room all work will be according to all town building codes and regulation. builder will also replace 2 exterior doors plus replace all trim work needed. builder will also prime and paint all new areas. new room walls and ceiling,move wall extend ceiling,sheetrock paint $13.800 13,800.00 remove and ilistall2 new door$400.00 per door=$900.00 cost of 2 new Anderson doors=$2000.00 total door cost--$2900.00 2,900.00 Total 4, C DiVecchia Bros. Construction Inc. Proposal 6 School Hill Lane No. Reading,MA 01864 Date 2/28/2013 Bill To Ship To mark hafiz 64 Aridge rd north andover, NIA 01845 S.O. No. P.O. Number Dt Ship Via F.O.B. Project 2/28/201 /28/2013 Description Amount ELECTRIC WORK electrician will supply all materials and labor for all lights and wall outlets for all new areas 4 recessed lights in new room and 2 ressed lights in extended ceiling area plus relocated all wires if any in wall needed to be removed cost for all electric work above=$3900.00 3,900.00 FLOORING buildes allowance for appx 50 yards of rug=50 yards x 30.00 sg.yard=$1500.00 with includes rug,pad,and installation- total flooring cost for 50 sg yards= $1500.00 1,500.00 7 a��3 � Total $22,100.00